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©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jan 21, 2026; 32(3): 114226
Published online Jan 21, 2026. doi: 10.3748/wjg.v32.i3.114226
Published online Jan 21, 2026. doi: 10.3748/wjg.v32.i3.114226
Percutaneous vs surgical management of World Health Organization cystic echinococcosis 1 and 3a liver hydatid cysts
Mehmet Tahtabasi, Department of Radiology, University of Health Science, Mehmet Akif Inan Education and Research Hospital, Sanliurfa 63000, Türkiye
Eyüp Kaya, Department of Radiology, Harran University-Faculty of Medicine, Sanliurfa 63000, Türkiye
Metin Yalcin, Department of General Surgery, Mehmet Akif Inan Education and Research Hospital, Sanliurfa 63000, Türkiye
Veysel Kaya, Department of Radiology, Harran University, Sanliurfa 63100, Türkiye
Author contributions: Tahtabasi M contributed to the study conception and design, data collection, analysis, and manuscript drafting; Kaya E and Yalcin M contributed to data collection, interpretation, and critical revision of the manuscript; Kaya V assisted with study design, data interpretation, and final approval of the manuscript; all authors have read and approved the final version of the manuscript.
Institutional review board statement: The study was conducted in accordance with the Declaration of Helsinki and approved by the local Institutional Review Board of Mehmet Akif Inan Education and Research Hospital (approval date: 26 August 2025).
Informed consent statement: This study was conducted retrospectively using previously collected patient data. No new intervention or additional procedure was performed beyond routine clinical practice. Therefore, individual informed consent was waived.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Data sharing statement: The data supporting the results of this study are available from the corresponding author upon reasonable request. Due to patient confidentiality and ethical restrictions, the data are not publicly accessible.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Mehmet Tahtabasi, MD, Associate Professor, Department of Radiology, University of Health Science, Mehmet Akif Inan Education and Research Hospital, Kara
Received: September 15, 2025
Revised: October 29, 2025
Accepted: December 5, 2025
Published online: January 21, 2026
Processing time: 124 Days and 15.5 Hours
Revised: October 29, 2025
Accepted: December 5, 2025
Published online: January 21, 2026
Processing time: 124 Days and 15.5 Hours
Core Tip
Core Tip: This large-scale, retrospective study compares percutaneous and surgical treatments for World Health Organization cystic echinococcosis (CE) 1 and CE3a liver hydatid cysts over a 20-year period. Based on real-world data from an endemic region, the study highlights the safety and efficacy of percutaneous approaches, while also showing slightly lower recollection rates with surgery. Notably, the findings suggest that higher cyst volume increases the risk of fistula formation and prolongs treatment, regardless of the method used. These insights can help guide personalized treatment decisions and emphasize the need for standardizing follow-up protocols and recurrence definitions in future studies.